Drummond Sandra
Nutrition Department of Dietetics, Nutrition and Biological Sciences, Queen Margaret University College, Edinburgh.
J Fam Health Care. 2007;17(6):219-21.
Obesity is a serious and increasing public health problem in the UK. The author discusses current evidence which suggests that intervention with individual clients is worthwhile, and that the priorities for promoting a healthy body weight are to reduce dietary fat and eat a diet high in carbohydrates, in conjunction with moderate daily physical activity. The client is unlikely to achieve an maintain a healthy body weight unless they find a diet and forms of exercise that they enjoy. Health professionals can help by providing evidence-based advice tailored to the individual client's preferences. For example, clients can eat more of the fruits and vegetables they like, and sugar need not be excluded from the carbohydrate components of the diet and may be beneficial in making the diet more palatable. Slow, steady weight loss should be the aim leading to maintaining a healthy body weight in the long-term. Small acceptable changes to the diet, which can be maintained lifelong, should be encouraged. Some practical suggestions for low energy diets and ways of increasing exercise are included.
在英国，肥胖是一个严重且日益突出的公共卫生问题。作者探讨了当前的证据，这些证据表明对个体客户进行干预是值得的，并且促进健康体重的首要任务是减少膳食脂肪，食用富含碳水化合物的饮食，并结合适度的日常体育活动。除非客户找到他们喜欢的饮食和运动方式，否则不太可能实现并维持健康体重。健康专业人员可以通过提供根据个体客户偏好量身定制的循证建议来提供帮助。例如，客户可以多吃他们喜欢的水果和蔬菜，而且在饮食的碳水化合物成分中不必排除糖分，糖分可能有助于使饮食更可口。缓慢、稳定的体重减轻应该是目标，以长期维持健康体重。应鼓励对饮食进行一些可接受的小改变，这些改变可以终身维持。文中还包括了一些低能量饮食的实用建议以及增加运动量的方法。
